2164 Hwy 801N (2)**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section.] 900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION��'r IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
.i
RESIDENTIAL SPECIFICATION: BUILDING TYPE 1%✓i # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE (% # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY lii�%-t DESIGN WASTEWATER FLOW (GPD) O NEW SITE REPAIR SITE /Y
v ,
SYSTEM SPECIFICATIONS: TANK SIZE �9 f�AL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH �' LINEAR FT. 206
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT Ca6(46< /%Zf)a
V�^ r
I�
11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 1
OPERATION PERMIT
SYSTEM INSTALLED BY:Skywan- bit
AUTHORIZATION NO. OPERATION PERMIT BY: Haolly UAWIJVMA4 DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCdD 02/02 (Revised) # 6-p- 7 0— 1 7� 1 �
Permittee',`
DAVIE COUNTY HEALTH DEPARTMENT
Name: ��.�1
,..,`�
Environmental Health Section
PROPERTY INFORMATION
(l!lp� 1 ! �' C Gf`
P.O. Box 848
Directions to property:
Mocksville, NC 27028
Subdivision Name:
(
Phone #: 336-751-8760
Section:Lot:
%�;�/
AUTHORIZATION FOR
WASTEWATER
t,(^,�
,.;xT i'!i.((i lit •
SYSTEM CONSTRUCTION
Tax Office ce PIN:# - -
O
4
002968 A
.'
0/4/
AUTHORIZATION
NO:
Road Name: .
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section.] 900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION��'r IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
.i
RESIDENTIAL SPECIFICATION: BUILDING TYPE 1%✓i # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE (% # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY lii�%-t DESIGN WASTEWATER FLOW (GPD) O NEW SITE REPAIR SITE /Y
v ,
SYSTEM SPECIFICATIONS: TANK SIZE �9 f�AL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH �' LINEAR FT. 206
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT Ca6(46< /%Zf)a
V�^ r
I�
11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 1
OPERATION PERMIT
SYSTEM INSTALLED BY:Skywan- bit
AUTHORIZATION NO. OPERATION PERMIT BY: Haolly UAWIJVMA4 DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCdD 02/02 (Revised) # 6-p- 7 0— 1 7� 1 �
f.; t ,,. �M.. ``ir� ._ 1, F ..e°'�.: 4 .<; fat -•.4} � •.. w, ..,,,.,,,. ,. �'., i „i ."o`v4 WFC
P�rtiiittee sio t i , ; k ;i; DAVIE COUNTY HEALTH DEPARTMENT
Name: - t ' f `'- w' 1 t t Environmental Health Section PROPERTY INFORMATION
P.O. Box 848
' Directions to property: { i^! 'r<' Niocksville, NC 27028 Subdivision Name:
j Phone #: 336-751-8760 i
Section: Lot:
} t AUTHORIZATION FOR f
WASTEWATER - -
SYSTEM CONSTRUCTION Tax Office PIN:# /
"AUTHORIZATION NO. Q A Road Name: Zip::; e, r c�
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
t�l to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED /
RESIDENTIAL SPECIFICATION: BUILDING TYPE �'"-4i� # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE _ _ # PEOPLE _ # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY I k. (l DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE 3
SYSTEM SPECIFICATIONS: TANK SIZE PUMP TANK GAL. TRENCH WIDTH - � ROCK DEPTH �'' ° LINEAR FT. ! G
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
T. 1
t d .ti 1
v t`
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: ,S:kf r lan b a
1
U2
AUTHORIZATION NO. � OPERATION PERMIT BY: _ j DATE: d
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM ESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.,,
UCHn 0=2 (luv�sed) " -H" 7 f% 9
r_.
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME Sue Alleve PHONE NUMBER 61acr-30107
ADDRESS 2,1kt Rol jJ SUBDIVISION NAME
rYlnVAWA(,- Z 7 ZY LOT#
DIRECTIONS TO SITE ISS- 16 F4- r-aman- l.. 24- 114 tM tot - hwy rn, l�F{' acro
Ly.
DATE SYSTEM INSTALLED -4&) - Sb' -NAME SYSTEM INSTALLED UNDER
TYPE FACILITY Mk, NUMBER BEDROOMS .3 NUMBER PEOPLE SERVED
TYPE WATER SUPPLYWCIL SPECIFY PROBLEM OCCURRING
DATE REQUESTED In- 22-10 INFORMATION TAKEN BY
QIA—
This is to certify that the information provided is correct to the best of my knowledge. and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. ,/93
Go"S - Davie County NC Public Access
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http://maps.co.davie.nc.us/gomaps/map/Index.cfin 10/22/2010
�„r-. ..... - ._. •: ten. '..:.,.....,.,.-..-� ,;r.. ....-.,. * ..�:4 rw,.,.. ., _ ....-. ... -..-� ,., .,�_
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION.
*NOTE: Issued in Compliance wiik G.S, of North Carolina Chapter. 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name J f/, i�r' 1' �� �% Date/ f ' `7- 5003
Location �` �. A —
Subdivision Name Lot No. Sec. or Block No.
Lot Size House ! /" Mobile Home _ Business Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES ❑ NO Cio Specifications for System:
Auto Dish Washer YES ❑ NO []/;
Auto Wash Machine YES E? --60 .❑ // wY / �� ='� rs= y
Type Water Supply��' _
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
i
1. 1
Improvements permit by --
"Contact a representative of the Davie County Health Deep�artment for final inspection of this system between 8:307
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
t I
Final Installation Diagram:
System Installed by
Certificate of Completion __ Date ���
*The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
i J. :ye7�.K..+V�v.:�".i.Ww...:..w.:w-a:.�+..uud.X:.a.;.r:�i�j+.a'�+...,i},rs.�.+.''rY+..:.i�w`..+...w..c��.w.-.r�..�t.W+.�K.+'".`+a.�.;.�..,v.r:..+�+..�.,.:,.wc±v...+o-`+�a.vyl,-a.+w.,.r•.�.�«.-.<-^^s-�.....,r..-�.r-. ..._ ... ,.. ... ...... case.
DAVIE COUNTY HEALTH DEPARTMENT
yq
-
'IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name v r Date
,.
e
Location - ,.... , ,. r' -- — (.� ' , ``�,�'c /w::
Subdivision Name Lot No. Sec. or Block No.
Lot Size House .f' — Mobile Home
No. Bedrooms ��'� No. Baths '`i No. in Family.
Garbage Disposal YES ❑ NO [Zr-
Auto Dish Washer YES ❑ NO ❑,.�
Auto Wash Machine YES E]. N*O ❑
Type Water Supply 11 = -
Business -- Speculation
Specifications for System:
`This permit Void if sewage system described below is not installed within 36 months from date of issue.
1
"•i/ �' ��
41
i
Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Te ephone Number: 704-634-5985.
g �
Final Installation Diagram: System Installed bye -
IL
Certificate of Completion :F�1Date
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
Parcel #: C5OOOOOO85
Davie County, NC - Basic Estate Search
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Parcel #: C500000085
Account #:82520009
Owner Information
1 1 Tax Codes
ADVLTAX - COUNTY T
READVLTAX - FIRE TAX
LIEN SUE B REVOCABLE TRUST
164 NC HIGHWAY 801 NORTH
OCKSVILLE NC 27028
BXF•
Property Information
Township
nd (Units/Type): 3.520 AC
ddress: 2164 N NC HWY 801
FARMINGTON
193,12
sessed:
Deed Information
Local Zoning
ate: 01/2003 Book: 00460 Page: 0136
Plat Book: Page:
Legal Description
[ PIN
13.680 AC HWY 801
5842889294
Property Values
!Lildin :
143,66
BXF•
nd:
49,46
arket•
193,12
sessed:
193,12
eferred•
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00460 0136 01 2003 WD Unqualified Improved 0
View Property Record for this Parcel View Map for this Parcel View Tax Bili Information
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Davie County Web Site
All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
implied, In fact or in law, Including without limitation the implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnet/View.aspx?prid=1460918 9/20/2016